OrganizationActive
Southern Oak Dental, LLC
NPI 1336761097 · General Practice Dentistry · Sumter, SC
Southern Oak Dental, LLC is a General Practice Dentistry organization in Sumter, SC (NPI 1336761097).
Provider details
- NPI number
- 1336761097
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Frank Gong, Owner(206) 371-2516
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1322 Broad St Unit 90
Sumter, SC 29150-1984
Phone: (912) 856-9698
Street-level locationGet directions
Mailing address
4921 Centre Pointe Dr Ste 201
North Charleston, SC 29418-6997
Other names (DBA / former)
- Other name
- Dental Home Eb5 Vii
Registry dates
- Enumerated
- 2020-05-15
- Last updated
- 2020-05-15
- Certified
- 2020-05-15
Frequently asked questions
- What is Southern Oak Dental, LLC's NPI number?
- Southern Oak Dental, LLC's National Provider Identifier (NPI) is 1336761097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Oak Dental, LLC?
- Southern Oak Dental, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southern Oak Dental, LLC located?
- Southern Oak Dental, LLC's practice location on file with NPPES is 1322 Broad St Unit 90, Sumter, SC 29150-1984.
- What is Southern Oak Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Oak Dental, LLC is (912) 856-9698.
- Who is the authorized official for Southern Oak Dental, LLC?
- The authorized official listed on Southern Oak Dental, LLC's NPPES record is Frank Gong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Oak Dental, LLC's NPI active?
- Yes — Southern Oak Dental, LLC's NPI (1336761097) is active in the NPPES registry as of the last update on 2020-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.